Newborn- Respiratory Distress


Manage episode 285499700 series 2851469
A sorozat szerzője: Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD, Ryan Flaherty, DO, Samantha DeMarsh, Elizabeth Grogan, and MD, akit a Player FM és a Player FM-közösség fedezett fel. A szerzői jogok tulajdonosa a kiadó, nem a Player FM, és a hangfájlt a kiadó osztja meg közvetlenül a saját szerveréről. A frissítések nyomonkövetéséhez koppints a Feliratkozás gombra, vagy másold be a feed URL-t egy másik podcast-appra.

Today we’ll be covering Respiratory Distress of the Newborn, going along with this month’s theme, Newborn Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

A female infant is born at 38 weeks gestation to a G2P1 mother with known gestational diabetes via scheduled, repeat C-section. Initial Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. About an hour later, the child begins to develop tachypnea (RR 70), nasal flaring, and grunting, which improves with supplemental oxygen via nasal cannula. A chest X-ray is obtained, which showed findings consistent with the diagnosis of Transient Tachypnea of the Newborn. What findings would be expected on chest X-ray for this patient?

  1. Diffuse parenchymal infiltrates with fluid in the interlobar fissure
  2. Diffuse parenchymal infiltrates with air bronchograms or lobar consolidation
  3. Diffuse, bilateral ground-glass opacities with air bronchograms
  4. Diffuse, patchy infiltrates with areas of hyperinflation
  5. Left-sided intrathoracic stomach bubble with shift of the mediastinum and cardiac silhouette to the right

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